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1427740885
DERRICIA WALTERS
FORT WAYNE, IN
NPI
1427740885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-24
Last Update Date
2023-06-09
Business Address
DERRICIA WALTERS
2622 LAKE AVE
FORT WAYNE, IN 46805-5410
Phone number: 260-458-3270
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Mailing Address
DERRICIA WALTERS
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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